结肠憩室反转导致的肠套叠：一例报告
Intussusception caused by an inverted colonic diverticulum: a case report.
作者信息
Zhang Bei, Wang Jiping, Li Xiaoguang, Wang Zhuo, Zhang Yangjiao, Yang Hao
机构信息
Department of Radiology, First Hospital of Jilin University, Changchun, China.
Department of Gastrointestinal Surgery, First Hospital of Jilin University, No.71, Xinmin Street, Changchun, 130021, China.
出版信息
J Med Case Rep. 2018 Apr 27;12(1):114. doi: 10.1186/s13256-018-1652-9.
BACKGROUND
Intussusception is an unusual disorder among the complications of diverticula in adults. This study aimed to report intussusception due to an inverted colonic diverticulum. Such a large inverted colonic diverticulum has rarely been reported.
CASE PRESENTATION
A 62-year-old Chinese woman presented to the First Hospital of Jilin University with abdominal pain, vomiting, and bloody stool. Preoperative computed tomography imaging indicated intussusception. The intraoperative diagnosis was consistent with postoperative pathology. Our patient was diagnosed as having an inverted colonic diverticulum near the ileocecal valve with intussusception and intestinal necrosis.
CONCLUSION
Although inverted colonic diverticulum is extremely rare, it should also be considered among the causative factors of intussusception.
背景
肠套叠是成人憩室并发症中一种不常见的疾病。本研究旨在报告一例因结肠憩室翻转导致的肠套叠。如此大的翻转结肠憩室鲜有报道。
病例介绍
一名62岁中国女性因腹痛、呕吐和便血就诊于吉林大学第一医院。术前计算机断层扫描成像显示肠套叠。术中诊断与术后病理结果一致。我们的患者被诊断为回盲瓣附近有一个翻转结肠憩室并伴有肠套叠和肠坏死。
结论
尽管翻转结肠憩室极为罕见，但在肠套叠的病因中也应予以考虑。
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